HomeMy WebLinkAbout2188 PUENTE AVE - Building PermitsMECHANICAL PERMIT
Job Address: 2188 PUENTE AV
Suite No
Vicinity:
Parcel Number: 42217140
Applicant ALLIED PLUMBING - HEATING - AIR CONDIT.IONING
Address: 422 JENKS CI , � l � - , � �, � �
� .
, , , � Phone: 714-996-4300 '
CORONA,CA , � � .
Owner:% STEVENSON, WI�L-LIAM H TR;
Address: ;2188 PUENTE AVE ; -
� :i
_ � COSTA MESA, CA
Zip: 92880 �
/
Phone:
Zip:
Status: ISSUED
Applied: 10/'13/2004
Issued: 10/13/2004
ISSUED BY:
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Contracror: ALLIED PLUMBING - HEATING - AIR CONDITIONING � , „ ' � "�,
� Address: 422 JENKS CI . ' � - � , . . � �
� , ' Phone: � 714998-4300 ' - � - �'
, . � CORONA, CA , . . .:.-Zip:� : 92880 , • � . . � � . ' ,
. ' . ,-;->. . _.._ . . , , -
� � . � • . . " _ �- "License:610780 � . , . , . , ,
� ' SCOPE OF PERMIT � � �
. _ . CHANGE OUT AND RELOCATE FURNACE INTO ATTIC � , � , � . ,
' � � � � �
' % � � � MECHANICAL TO INCLUDE: 1 INSTA�FAU < 100K BTU j ' , } � -
. . , , JI_ _% — � ^e �_ � . .
' � FEE SUMMARY —
�, �
1 1
� � � Quanlity. . � ', . _ _ ��-. ��," , ; : ; � Quantib.� i
ISSUEFEE $23.50'- _— _ � ��'% ��-:� Repalr/�AltAbsoibtionUnit ..���;$0.00�-�0' :i�
Inst FAU <100 k BTU� , $14.80 - � 1 , . , Repair / Alt Refngeration Unit : $0.00 0 � , �
InsCFAU>100kBTU� $0.00 ��0 � � � VentillafionSystem � �';$0;00. 0 ' �
Repair/ Alt Cooling/Heat $0.00 0 Evaporative Cooler i ,'J�� /$0:00.- _0 ';/
Inst/ Rep. Recess,Wall Htr, $0.00 0 Comrrie'rcial�lncinerator ��. :-:� $0.00 0
Refrig Sys <700 k'BTU � \� _ $0.00 0 Domestic'�Inclnerator � I���J -$0.00-' � 0 �i"��
Refrig Sys >100 k BTU �� �A , $0.00 0 � ,.:; Com�ressors / Absorption Svstems i i� � ; ":,�; � �i �' .
Gas Piping;, =, � f � �'� � $0.00 0 - ...�; � �-' �`Up to 3 hp / 100 k BTU ' 1�f� `�$0 00 /0� /
Facto Fire lace� � �'' �' � %•�
ry� p ��� $0.00 0 . Y'3" 3�To,15 hp / 500 k BTU � �� / $0 00 �,0�
Hood w/Me`cti Exhaust � ; � ` '�; $0.00 0 �;��`: . �„ , . 'I S To 30 h'p,/,1,000. k BTU � '�' ' r �`. $0.00 � ; 0
VAV Box •. �"� � ' •��; $0.00_ , 0 4 � ; " ' - � „' 30 To 50 hp /-1;730�k:BTU � . j �� � ' $0.00', ; 0
Vent Fan / Single'Duct �, �'$0.00 0- ��, �_ , , � Over 50 hp / Over 1,750 BTUi?,% . �$0:00�� 0
Appliance �V �w� � . ;//`� "� $0 00 , _0 , � •• � ' ' Boilers , .� ' - �, j� <�� ' � - � .
Fire Dam ers ' � ' � .
p -- � �" r�,'$000. D�, � �,-� �- 'Upto3hp` ,,"� , ��$0.00 0
Smoke Dampers �`JV � % $0 00 �� 0'�^ � ` � �� _,3 To,15'hp,�, -�'�� � �' .A ' ,; i $0.00 0
Insl or Relocate Appl Vent � �"�; � � $0 00 0 � _ _ _ - � 15-to 3Qhp= � �"� �"� :' ; �,: �$0.00 0
Air Handlers < 10000cfm��� '�`. � �$0.00 � 0 ' - � - - 30 to�50-hp' ' . ' � $0.00 0
Air Handlers > 10000cfm �� , $0.00 '�0'� � � Over 50 hp-: - . � � - ' � $OAO 0
FloorFumace ���,��'$0:00 • 0 � �. � � � � Other�Mechanical`Fee - .
Floor or Suspentl Heater . �$0,00� , 0 � . - ' � ' , InvestigatiomFee ' _ - $0.00
� - > ' �-_� � � ` : Plan Check Fee - � "l � � 50.00
\;�- _ - � ��_. .
� - � � . _ Reinspection Fee: % � � $0.00
--c_,, - . i�� .
- , : C .i'`- _ -
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned
for a period of 100 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legel, such work must comply with all applicable codes, and all
requlred Inapectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
zao-�e �aroo�
WORKERS'COMPENSAnON DELLARAnON: ' ' � , , �'
I hereby eflirm under penalry ot perjury one of the following tlaclarations ''�
❑ I have and will maintain e cenificate oi consent to self-Insure tor workers' compensation, es provided for by section 3700 of the Labor Code, for the peAormance o� ihe
work for which ihis permii is issued.
!y�p��–have and will maintain workers' compensation insurance, as requiretl Dy section 3700 of Ihe Lebor Code, for Ihe pedortnance of the work for which this permit is issuetl.
/- My workere' compen ation I urence carner antl portcy number ere:
Cer�' e:-J%` �.i�� �A^�r (�/1�� T'Polic"yNumber,��C'%q��BU3 -U 1
7Th�ecNon need nof be canple( d il the permi( is vaTued et one M1undred dollars ($100) or less.) ��"'—
❑ I certify that in the rtormance of Ihe worN tor which t�is permit is Issued, I s�all not employ eny person in any manner so es to become subject to tha workers'
compensellon law f Celitomla, end e reB thal H I sho Uecome su6ject ro the workars' compensation pmvisions ot Sectlon 3700 ot Ihe Labor Code, I shall forthwith
compty with Ihes visions. �n ��– Q, /
AP�P�'�,wm..6i8^emre:^^' ' ' � � ' ,; _ Date:� 1'' – y
WAHNIN(i:.FNLURE TO SECURE WORKEiiS' COMP SATION COVERAGE IS UNUWFUL AND SHALL SUflIECT AN EMPLOYEF TO CRIMINAL PENALTIES AND pVIL FlNES UP TOONE HUNDRED
7Fi�U —SAND DOLLARE (5100,000), IN ADDRIqJ TO T OF COMPENSAiION, DAMAGES AS PROVIDED FOfl IN SEGTION 3]Ofi OF THE LABOR CODE, INTEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
of Chapter 9(commencing with Section 7000) of Division
entl my Ilcense is in full
CONSTRUCTION LENDING AGENOY:
❑ I hereby aflirm ihat ihere is a conslmction lending agency for ihe pedormance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Cotla).
Lender'S Neme:
Signeture: _
Lenaer'S Address:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby eMirm that under penalry of perjury Ihat I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business entl Protessions
Gode: Any ciry or county which requires a permi� to construct, alter, impmve, demolish, or repair any siructure, prior to its issuance, also requires the epplicaN tor such pertnit
to file a signea statement that he or s�e is Iicensed pursuam to the provisions of ihe Comrectors License Ww (Chapter 9(wmmencing with Section 7000) of Division 3 of Ihe
Business end Professions Cotla) or that he or she is exempt thereirom and the basis for the allegetl exemption. Any violation oi Section 7037.5 6y any epplicant tor a pertnit
subjects ihe applicam to a civil penalry ot not mo�e than five hundred dollars (5500).):
❑ I, as owner ot the property, or my employe9s with wages as their sole compensation, WILL DO 7HE WORK, antl ihe sWcture Is not intentled or ottared tor sela (Sec.
7044, Business and Protessions Code: ThB Contractors License Law dces not apply to an owner ot property who builtls or improves thereon, and who does such work
himsetl or herself or thmugh his or her own employees, provided ihat such improvements are not Intended or oHeretl for sale. If, however, the building or improvement is
soltl wit�in one year ot completion, Ihe owne�-builder will have the burden of pmving that �e or she did not build or improve for puryose of sale.). '
❑ I, as owner oi the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the prolect (Sec. 7044, Business antl Professions
Code: The contrectors License Law tloes not eppty to an owner of pmperty who builtls or improves ihereon, and who contrects tor such project with e contractor(s)
license pursuant to iha CoNractors LlcenSB �ws.).
❑ I am exempt under sec.
SignaWre:
Owner ID ventied by drivers licen5e. ❑ Ve5 ❑ No
Business antl Pmfessions Code lor this reason:
Verilication ol Ownership by (type ol document, i.e. - properry tex bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Onvefs License No.
Date:
Expires:
❑ I hereDy cehih/ ihat no excavation fiva (5) tl� more feet in depth Into which a person is requlred to descend, will De mede in connection with work authorizetl by ihis
permit, antl that no building siructure, scallolding, falsework, or demolition or dismantlinq thereof, will be more than thirry-sia (38) leet hig�. (Chap. 32, Grp 2, An 2, Sec.
341, Tltle 8, Califomia Atlministretive Cotle).
❑ As ownerbuilder, I will not employ enyone to tlo work which woultl require a permit fmm the Division of Intlustnal Sefery, es notetl above, unless such person hes e
permit to tlo such work from the division.
Signature: Date:
Division of Inaustnal Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AIJT}10RWU10N OF ENTRY: I cenity under penalty of perlury ihat I have read t�is epplication end state that the informetlon given is
cortect. I egrea b comply with ell stete lews end ciry ordinances relating to building constmction, and authorize representatives ot the Ciry of Costa Mese to eNer upon the
above-described propetly for inspection purposes. � egree not to �ccupy or allow occupancy of any building authorized by this permit until final inspection.
GOpE �. INS]ECTIONTYPE .
1616 Fixed System Final Fire Prevention
1266 Pool Spe Final
200 Finel Re-Roof
205 FinaV 81ocklRetaininq W sIV
202 Final Factory Fira Place
203
204
Finel Sign
Final Demolition
1�7.11�I�IIII/.1S',
, , •.:
COOE I INSPECTION TYPE
206 Final MeChanical
208 Final Plumbing
210 Final Elettncal
212 Final Fire Preveniion
zzo
222
250
Final Planning Approval
Final Site
Final Builtling/Occupancy -
(714) 754-5273 • Fex (714) 754-4856 • v,rww.ci.costa-mesa.ca.us . 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
2188 PUENTE AV
ATTIC
42217140
Applicant: LAURAYENULONIS
Address: 422 JENKS CI
� '.;
CORONA,CA' �� �.
y.,' �� _
ELECTRICAL PERMIT
- Phone: 714-998-4300 �� '� �
� Zip: 92880 i � �, �
,, ; � � ,
owner: rSTEVENSON,�WILLIAM'H TR
�
Address �- 2188 PUENTE AVE- � � �
�,
/ ' , i , . � Phone:
i� , . COSTA MESA�CA % Zip: 92627
Status: ISSUED
Applied: 10/13/2004
Issued: 10/13/2004
ISSUED BY:
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Contracror: ALLIED PLUMBING - HEATING - AIR CONDITIONING ������� � ' �� � ��
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Address: ' 422 JENKS CI � __ - . , _
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- ' �CORONA, CA ' . `� `;:�Zip: 92880 .. . � ' � ' ..
. - license: 610780
. �
� � � ' SCOPE OF PERMIT � �
, " ' . CHANGE OUT AND RELOCATE �ORNACE:INTO.ATTIC. REF.: M04-00533_. .
.i , , � ' - ; ,=' rrti� f- ." � I .�
�� �,, ELECTRICALTO INCCUDEr1 LIGHT'FIXTURE; 1 OUTLET.AND"1'SWITCH.' __
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� , . : - -- FEE�SUMMARY � %;,c':�..����. . -�� ti�,
� ' . Quantity � � . . , �- <, �-t ,i�— _ _ .�� Quantily ! %, ' „�
ISSUE FEE � $23.50 Temp Dist System / Lighting � $0.00 0 �; � � � � �'; ;
Temp�service lest, `� $0.00 . Busway /100 ft�_ � _$0.00 0�/�: ( � . � , H� �
Res..a/cpackage :��.�;., $0.00 StandingSectiom._ $OAO 0'"i J'��� ; �+;��
New Res (1-2 units) '., .,� �� � $0.00 � 0 Misc Electrical Equipment �$0.00 �Oi,' ' �
New Res (3+units) �', ;��� $0.00 0 �+- • ;Transformers up to 1 kva/kw $0.00 , JO! + � ' � � � �� (�
Pool / Spa , �, �`, , A ;� �: $0.00 0 e f � � ..... ': .:up to 10 kva/kw $0.00 �k ��0 �..� � ",, /
, � � �,
Lighting Fixts�, :, ';�a51.10 1 •' �"� ��� , - ,' p �� " ,
- ..:..0 to 50 kva/kw $0.00=„/ 0 %���
- c� :' ............ .
:..�u�.., --" ._ ,
Recept Outlets, � '' `.$1.70 1 ''�.•� • ' "' ......:up to`�700,kva/kw-„, . $0.00�% 0 � /� � %
Switches ."-` _ $1.10�, � ' 1�" . � : .. .. .... over 100 kva/kw-•4 � .�$0.00" 0 � ,� '. ;
Non Res Appl� ���� j i� $0:00��,� ' 0' . , � Low yollage.Equipment ,�$0:00� �` 0 r..�/ �
Res Appl � -'/ $0;00 � � -0 - ` Low Volt Wirin9 System / Ckf� _ �$0,00. . 0 '' '
Service to 200a ��� �� i� $0.00�� 0`=. - - � Misc. Conduit � � $0.00 ���,0 ,'�
Service to 1000a ���, ;. , $0;00` 0 ; , ' Misc. Coriductor; _- � i � $0.00�� 0 �� ,
Service over 1000a \ �� ;�� $0.00 ; , � � ,0 � ` _ ` �Circus',( gen or nde) �� .$0.00' �, 0 �' /
Motors to 1hp �` ��' ; $0.00 �� � ;' �0�- � . � Circus (mech ride or lights) ��� �$0.00, � ". 0�
Motors to 10hp A � �$0.00 �` ' � -0��; � - . . Christmas Tree Stand, � • � � $0.00 :��, '0
Motors ro SOhp �-$0.00�, �, 0. � - Fireworks Stand� � � � - �$0.00.-� 0
Motorslo100hp $0.00' �, �0 � •�,�-�, � �OtherElecVicalFee�- :-�$0.00
Motors over 100hp $0.00 ��'� �., � --_ 0 = � � � ' �� - ! �
Communication drops $0.00 ' 0 � ` - � � � -. � - Investigation Fee � � "� � $0.00
Sub panel to 200a $0.00 0 � - _ _' � - � PIan�CheCk Fee- ` $0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21•92)
EXPIHATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 1 BO days.
IMSPEC710NS: In order for the vrork authorized under this percnit to be considered legal, such work must cromply with all applicable crodes, antl aN
required Inepeetione and final epproval must be oblained. Failure to obtain inspections and final approval will result in the expiralion of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
saauae (s�oo�
WORKERS'COMPENSAnON DECLARAnON: .� . , ' •� �
I hereby attirm under penalry ot perjury one of the tollowing daclarations: � - �
❑ I have entl wlll maintain e cenifiwte of �nsem to seH-Insure tor workers' wmpensation, es provitletl for �y section 3700 ot the Lebor Cotle, for ihe peAortnance of the
_ work 1or which this pertnit is issuetl.
ensation insuranoe, as requiretl by section 3700 of the LaDor Gode, for Ihe pertortnance ot Ihe work for which this pertnit is issued.
carner entl policy number are: / �r .��._�^ � , p 0 I
�, 1 ('!1/Y�� PoNcy�Number.� ��V �l 2'-1 �J"
iermif �s ve ue0 et one hundred dallers ($100) oNess.) �iy�--.�- —�� _ .
❑ I certity that In t peAormanca ot the �+ork tor which this pertnit is issued, I shall not employ any person in eny manner so as to become subject to Ihe workers'
compensetion le ot Celllomia, antl ag�ee that if I sho I ecome subject to Ihe workers' compensation provisions of Section 3700 of Ihe r Cotle, I shall fort�wlih
comply.with� s rovisions. � �'^ _ 1�—
A�yrra�n�,SigneWre:� ` � � J�� �ale� U
AW RNINO: FAILURE TO S URE WORKERS' CAMf 'N AiION COVERAGE IS UNUWFUL AN� SHALL SUBJECT AN EM�QYEH,TO.CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
TFIOUSAND DOLLARE (5100.000), IN ADDfTION Ttl TME COST Of COMPENSATIIXJ, DAMhGES AS PROVIOE� FOR IN SECTIIXJ 3'lOfi OF iHE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
9(commencing with Section 7000) of Division 3 af the
CONSTRUCTION LENDING AGENCV: �,J
❑ I hereby attirm thai ihere is a construc�ion lending agency for ihe performanca of the work for which this pertnit is issuetl. (Sec. 3097, Civil Cotle).
Lentlefs Name:
Signature: _
OWNER-BUILDER DECLARA710N5:
Lentler5 Address:
Date:
my licanse is in lull
I hereby attirtn thet under penalry ol perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Busineu end Protessions
Code: Any ciry or counry which requires a pertnit to consiruct, alter, improve, tlemolish, or repair eny siruc�ure, pnor to its issuanca, also requires the applicant tor such permit
to file e siqned statement ihat he ar she is Ii�ensad pursuant to the provisions ol the Comrectors License Lew (C�apter 9(commencing with Section 7000) oi Division 3 oi t�e
Business antl Professions Coae) or ihat he or she is eaempt therefrom and the basis for ihe alleged exemption. Any violation oi Section 7031.5 6y eny applicent for e permit
su6jacis ihe applicant to a civil penelry oi no� more than tive huntlred dollars ($S00).):
❑ I, as owner ot Ihe property, or my emp�oyees with wages as their sole compensalion, WILL DO THE WORK, and ihe siruciure is not intendad or otteretl ior sale (Sec.
7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves Ihereon, antl w�o tloes such work
himself or herseli or Ihrough his or hel own employees, provided that such improvemenis ere not intended or offered for sele. It, however, ihe building or improvement is
soltl within one year of completion, the owner-Duiltler will have the burtlen of proving thet he or she dia not build or improve tor purpose oi sele.). '
❑ I, a5 owner of the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business antl Protessions
Code: The contrectors Llcense Law does not apply to an owner ot pmpeny who builtls or Improves ihereon, and who contrects tor such project with e contrector(s)
license pursuant to tha Contractors LiCense Lews.).
❑ I am exempt untler sec.
Signaiure:
Owner ID verifiad by dnver's license. ❑ Ves ❑ No
Business antl Protessions Code lor this reason:
Venficatian of Ownership by (type of dxuman6 i.e. - properry tex bill or deed):
DIVISION OF INDUS7RIAL SAFETV PERMIT CERTFICATION:
Driver's License No.
Date:
Expires:
❑ I hereby certlty that no excavation five (5) or more feet in depth into which e person is required to descenQ will be made in connection with work autnonzetl Dy ihis
permit, antl Ihat no builtling siructure, scattolding, falsework, or demolition or tlismantling thereof, will be more ihan ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle 8, Califomia Adminisirative Gode).
� As owner-builder, I will not employ anyo�e to tlo work which woultl require a permit from Ihe Division oi Industnal Selety, as noted ebove, unless such person has e
permit to do such work from the tlivision.
SignaNre: Date:
Divislon of Indusirial Satary Pertnit Number.
CERTIFICATE OF COMPLIANCE AND AUiNORIZATION OF ENTRY: I certify under penairy of perjury ihat I have reatl this epplication end stete that the iniormetion given is
correct. I agrea to comply with ell slate law5 end city ortlinances relating to Duiltling construc�ion, and authonze representatives ot ihe Ciry of Costa Mesa to enter upon ihe
above-described property for inspection purposes. I aqree not ip acupy or allow occupanry of any building authonzed by this permit until final inspection.
Signeture
COOE I, INSPECTIONTYPE
1616 Fized System Flnal Fire Prevention
1266 Pool Spa Finel
200 Final Fe-Root
201 Final BIocWRetaining Well ,
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition -
o�re �$
•. :
' �i
CODE� INSPECTIONttPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
'250 Final Builtling/Occupan�y
PAiE It�lL$
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U- �l-u-1 �
OWNER HjRINY INV. CO. DATE Iy-2'�-5S
JOBADDRESS 2188 Puente $'t. BUILDINGPERMITNO. 1Zrj�'j
GENERAL CONTRACTOR S. V. Hunsaker VALUE �.740�00
�or 90 e�ocK TRACT 23$7 Single Familp Dwel�iLig_
TYPE
INSPECTIONS
Footing Trench
Foundation Formsand Grade
Rough Framing
Plumbing, Rough to Slab
Plumbinq, Rough Complete
Heating, Final
Sewer, House � Sewer, St.
Septic Tank or Cesspool
Lathing, In Out
Plastering
Plumbing, Fin�al, Fixtures Complel
Plum6ing, Fin,al GasTest
Wiring, Final ��+
Occupancy L'
Form'l10 GH 15001-55
DATE
—�D
SUBCONTRACTOR
FIR
DATE
PERMITS ISSUED
, i.osta Mesa Building Department
,'��� 111 EAST 20th STREET
COSTA MESA� CALIFORNIA
G
FOY� APPLICANT TO FILL IN
Cross St.
Mafl
Address
Costa, Mesa,
Bioek
No.
'J X I/ltl I Now on Lot (l
`�� No.of No.of
I Famflles I Rooms
�i� i Rear Vard 7 � �
Stories
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply
with all City Ordinances and State Iaws regulating
building construction.
Valu,ation V
s �j %7CG.
Ff1NM 9f16 I.•H 2M 5-54
PLICATION FOR PERMIT
�-2� BUILD,�NG '
FOR OFFICE USE ONLY
� , Recefpt No. . _ Permit No.
, - -- /�5S
Building
Address
Costa Mesa, California
Plans
�..Q-i . :4� .. ..
APPROVALS
Foundation Location�, Inspecto
Forms, Materials, �
Under-Pinning
Frame: Fire Stops, s
Breeinq, Bolts �
Plaster, Ext. � -�
� :i
Masonry Reinforced �
� o Bond Beam ;v
co �
FINAL
OWNER STEVENSON�, WII,LIAM H. DATE 8_8_56 � -
JOBADDRESS '18$ � n P Strp,gt BUILDINGPERMITNO. #3LA37
GENERALCONTRACTOR O{�*S1Ep B].C12'. VAWE � 39H.00
LOT � AP�llOµbl-OS BLOCK �IQQ TRACT
Y 2j$7 Block W�1:.
TVPE
INSPECTIONS
Footing Trench
Foundation Forms and G
Rough Framing
Piumbing, Rough to Slab
Plumbing, Rough Compli
Temporary Pole
Wirinq. Rough
Heating, Final
Sewer, Hause Sewer, St.
Sepkic Tank or Cesspool
Lathing,ln Out
Plastering
Plumbing, Fin�al, Fixtures Comple�
Plumbing, Final Gas Test
Wiring, Final
Occupancy C
FOFM 110 3M 10�55
DATE
ZON
SUBCONTRACTOR
FIRE DISTRICT 3fy�1
PERMITSISSUED
DATE I NUMBER
Costa Mesa Bnilding De�artment APPLICATION FOR PERMIT
COSTA MEOSA,�CALIFORNIA_,_ -�'��� B U I L D I N G '
FOR OFP'ICE USE ONLY
FOR APPI.ICANT TO FILI3IIV Receipt No. Perm t N�
ding
ress �ia8 �4FNTE S-�. . � • . � I � .�
Costa Mesa, �'i�I1fOPi113� � j�e by �oat�gecr�� y_ ate �w
d' �l �.
maii .._ .. . .
Address i� 1�uc rr �'
city G'osl�w M�s�a rTvo�..G. €
ArohitecYor Lic.
Engineer No.
Addrew
r City Lic.
Contreetor �/�yy ii'�i'aY� No.
Leg�al Lot �
Description No. 90 Biock /(,h I Tract �g
(AttachMetesandBouhds) ��S �6 �- G; �
, No. of Bldgs
Size of Lot /ov X 6a � Now on Lot �
I�seof I No.of I Na.of
Existing Bldg. F�amilles � Rooms 7
Setback Line trom ��, ♦ Rear Vard � "
Center of Street li � Side Vard /�
DESCRIPTION OF WORH
New I>( I Alteration I I Addition I
Repair I I MOving ( I Demolish I
Building No.of
Size Rooms Stories
Exterior Wall Roof
� �
Costa Mesa, California
INo.of Type C
Plans I �
0
0
Covering I Covering [�PPR,QV���'
BuildinNeW��,.c � p` Foundation Location Inspecto
9 � ����" `'� � �. � `�a Forms,MaSerials,
y�%pG� �]�,j�,�. � e/ Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. int.
with all GSty Ordinances and State Iaws regulating
building construction. . Lath. Ext.
Signature of
Permittee -/-l���ws-� �<.su� Plaster,lnt
Authorized Agi. plaster, ExL
Vaivatlorr/ � Pe�mit Fee $ ��� Masonry Reinforced •
3�: Plan Check $ �� Bond Beam
$ � Total
Fee $ � FINAL
qm ao< ioss o. v. e s.
r.`-�
�'�
rn
PR
2 I
D
r
'''.�:
°"��T � Al'PROV��� I `
se - . �
c / QTY OP CC}ST:-. a.t[:i� �
J /17� pL„N1i�> DEPT-
` . . � o /� � SUBJcCI TO ULDG. DEPT. REG.
a Q��,�j��
v . BY PW17ac� DHI'c..a�+—== `
^ - - —�
�f ' , � p� �
.. s i . . ..
". t. . ! � .
� ' t9t9 : S" / �
: �, : . vy
,..; � . , , �
. ��•, ,
„�`� _ _ ; ii �, t•; .
Go � - ..i
' � � � Street
PLOT PLAN
Show locatlon and disWnces from
propeRy line and between buildings.
�
, . :-
; . . is�o5 FEE RECEIVED\
' COSTA MESA BUILDING-SAPEfY DEPARTMENT t 5 1963 �,"
P.O.BO%917 C08TAMESA.CALIFORNIA FIN�A�V�;E DEPI.
For Appllcanf ro Fill In Completely ���LI��,T�tST�EP�RMIT
' TYPE OR- PRINT BUILDING � �
eui�o�rva O For Office Use Only
A�DRE53 ' LI G �:i~ � RECCIYf NO. PE rt tao. �.
COSTA MESA, CALIFORNIA � � �,^�j
RCClIV[OOY DAT[R[C[IV C p/�TE168U
�/ �--� a . � 6 3 - ���
OWNER ��N , P • �J eI�BA�vry N .. -
MAIL /1 AODR65S '
ADDRESB � ' ,UL /� ��� �
FIRH '/
CITY ��a� ^
%� G�.:�'/'% NO. =ON8 TYPB ✓ GROUP
ARGHITECT TEL. �� BY�'ROVED N A7 �
V
ORENGINEER NO. i �
Z Nf3
aooRsss' ^ � � .
ZON NO.OP UBEOFN@W y�,,�/ Gpti
��r PLANB � BUILOINO „U Oq
CONTRACTOR C' FiG aJ•�J� 1 G�.
�. se�a,�,,,„ �o�' 90 T/P 2 3 8 7
aooRess % D ��5 rJ /l�,�[, i,/ p
C�N � `V� ; V � � � � � A. P. N�. /�.s _ 7 N � —Q U ..
NOTE: NO EAVE OVERHAN6 6HALL B4 LESS THAN
STATE { TEL 90' TO SIDE 8 REAR P. L.
LIC. NO. II G 1^ NO. � • � "
EAVE6
SIZE / � � Ho.one�oae. ALLOWED ' (U.B:C.REQUIREMENT)
OF LOT f�G � CA NOW oN LOT
YARDSAPPROVED YARDSAPPROVED
USE OF � MAIN BUII.DING ACCESSORY BUILDING
EXISTING BLD6. Ql� � �
f FROM C^/aL� 5T EET1) �
6ETB�ICK LINE FROM /(�.( / J fv E� FRONT /���/Q ��. ' o e/�/� FT ,
CENTER OF BiREET �'�«RCry ({A' REAR YARD �.j�
SIDEYARDI LEFT �i- ' 'I R16HT �.� R.61�EJ FT. FlT.
DESCRIpTION OF WORK L. SID6 —� Fr. F'�-r.
NEW _ AI,TERATION _ ADDITION REAR I� Ff. Ff. --
DISfANCE BEL _� BET. MAIN @
REPAIR M y1N0 DEMOLIHX MAIN BLDGS. ACCESS. BLDGS.
BIIILDIN6 NO.OF VE`R.# , DATE
S¢E .2O I - ROOMS � BTORIE9 � C. U. P. iC APPROVED
EXTERIORWALL �y eooF . 3?/ -�or,�pira AppROVED��,/1 - � L/� f—�63 �
COVERING `✓IUCCc• COVERINO `' 'S UL BY 7J" DATE
USE OF BUIyLD?INO AND WORKTO BE PERFORMED .
� A7/ / pCG liJi �I'� ���ilN. .
� Q . .C��/�P.V
. ' 8Q.F7. �P%�0��, � o .
1 HEREBY ACI(NOWLEO68 THAT 1 H�VE REAO THIB APPLICATION nie AMOUNT BXOWN UNDEH VALIIATION IB FOR TX8 ., �
rwTE,THAT TNE A60Y8 1H CORRECT AND A6REE TO COM• PURPO58 Op EBT/�BLI8HIN0 A PERMIT FEE ONIY. � �
PLY WITH ALL CIiV ORU� ANClB �NO BiAT6 NWB REOOLATINO ypLUAT1ON ' m
BIIIL�INO CONBTFUCTIO � . 'e�. N
SIGNATURE OF l� �� PERMIT FEE $�S �v j
PERMIi7E � ��`�V . m
s 3d'00. �E ,z—o 0
AUTHORIZED AGENT �1 �1
' TOTAL FEE �C � � y